PERSONAL ACCOUNT APPLICATION

Part of content:

PERSONAL ACCOUNT APPLICATION











PERSONAL INFORMATION
First Name:





Last Name:
Name of Person(s) authorized to use Pinnacle Limousine account:
Card Type: AMEX
VISA
MC

DISCOVER
Credit Card Number:






Exp. Date:
Credit Card Holders Name: (as it appears on card)
Address:
City:






State:

Zip:
Telephone:



Fax:
PERSONAL CREDIT CARD WILL BE CHARGED FOR THE FULL BALANCE OWED EVERY BILLING DAY. 20% GRATUITY CHARGE WILL BE AUTOMATICALLY ADDED TO YOUR BILL. PINNACLE LIMOUSINE RESERVES THE RIGHT TO REFUSE SERVICE TO INDIVIDUALS WHO ARE IN ARREARS. CUSTOMER AGREES TO BE RESPONSIBLE FOR PAYMENT OF ALL LOST, STOLEN OR MISSING VOUCHERS. CUSTOMER AGREES TO BE RESPONSIBLE FOR ALL RESERVATIONS MADE RESULTING IN A NO SHOW. WITH MY SIGNATURE BELOW, I HEREBY AUTHORIZE PINNACLE LIMOUSINE TO SUBMIT UNSIGNED CREDIT CARD VOUCHERS ON MY BEHALF FOR SERVICES RENDERED, STATING THAT MY SIGNATURE IS ON FILE.
I hereby understand and agree to be bound by the terms of this agreement.
Signature:
Date:
Print Name:
Fax this form to 718-761-5455
Please note incomplete charge account applications can not be processed. Thank You
!
If you have any questions please call 800-808-8656
PERSONAL ACCOUNT APPLICATION